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Individual

MRS. AMY RUSKOWSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
424 YELLOWSTONE AVE, SUITE 110, CODY, WY 82414-9309
(307) 587-5788
Mailing address
424 YELLOWSTONE AVE, SUITE 110, CODY, WY 82414-9309
(307) 587-5788

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113960600
WY
Enumeration date
08/25/2014
Last updated
08/25/2014
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